NPI | 1972878155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71547) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A130158) |
207R00000X Internal Medicine (Licence: CO DR.0070387) | |
207R00000X Internal Medicine (Licence: IL 036158390) | |
207R00000X Internal Medicine (Licence: MI 4301504705) | |
Enumeration Date | 2012-03-20 |
Last Update Date | 2023-05-24 |